2024 NATIONAL MEDAL
for Museum and Library Service Finalist

EBPL Authorization and Release Statement

East Brunswick Public Library Authorization and Release Statement

for Photographs, Writings, Artwork and Other Submissions

 

I hereby grant The East Brunswick Public Library (the “Library”) permission to use my personal photograph(s) and likeness; writings (including but not limited to stories, poems, scripts, essays, social media postings, etc.); and artwork (including but not limited to drawings pictures, photographs, sketches, paintings, designs, renderings, creations, videos or other electronic audio and/or video/digital recordings, etc.) which I submitted to the Library (all collectively referred to as, “submissions”) for inclusion in the Library’s Time Capsule project and for any other lawful purpose to promote or benefit the Library and/or its patrons. 

 

I understand that in addition to the Time Capsule project, my submission(s) may be used in print publications, online and electronic publications, presentations, websites, and social media.  I authorize the Library to use, edit, reproduce, modify, copy, exhibit, publish, post, display, and distribute (collectively “uses”) my submission(s) for any lawful purpose, and I waive any and all rights I otherwise might have had to inspect or approve the finished product in which my submission(s) appear(s).  I also understand and agree that I have no right to receive, and I will not receive, any royalty, payment, fee or other thing of value by reason of such uses.  I further understand and agree that by submitting my submission(s) to the Library, I am granting the Library an irrevocable license and right to use my submissions for the purposes described in this Authorization and Release.

 

I hereby hold harmless, waive, release, and forever discharge the Library, its employees, contractors, volunteers, Board of Trustees, and the Township of East Brunswick, its employees, agents, and elected and appointed officials, from any and all claims, liability, demands, and causes of action which I, my heirs, representatives, executors, administrators, and any other persons acting on my behalf or on behalf of my estate, have or may have, by reason of this Authorization and Release and actions taken pursuant to this Authorization and Release.

 

By my signature below, I represent and agree that I read and understand and agree to all terms of this Authorization and Release.  I further represent and agree that am at least 18 years of age or, if I am less than 18 years of age, that the signature of my parent or legal guardian appears below my signature in the space designated below.